Dba Blue Ridge Hearing And Balance Clinic

LBN: Princeton Audiology Clinic, Inc.,
Dba Blue Ridge Hearing And Balance Clinic is an health care organization with primary practice located at 508 New Hope Road Suite #19, Princeton WV 24740-2272. The organization recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Suppliers / Hearing Aid Equipment. Suppliers / Hearing Aid Equipment is the primary health care specialty. Princeton Audiology Clinic, Inc., can be contacted via phone (304) 487-2487, or through Desmond, Alan Louis via phone (304) 487-2487.

Contact Information

Primary practice address
508 New Hope Road Suite #19 Princeton WV 24740-2272
Phone: (304) 487-2487
Fax: (304) 431-3367
Website:
Map and Directions
Authorized official contact:
Name: Desmond, Alan Louis AUD., CCC-A
Phone: (304) 487-2487

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Suppliers / Hearing Aid Equipment 332S00000X

Profile Details

NPI number 1073580817
LBN Legal business name Princeton Audiology Clinic, Inc.,
DBA Doing business as Dba Blue Ridge Hearing And Balance Clinic
Authorized official Desmond, Alan Louis AUD., CCC-A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 5th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073580817 NPPES
Other CC3775 PALMETTO GBA RR MEDICARE
MEDICAID 4250000-000 PALMETTO GBA RR MEDICARE
MEDICAID 4250000000 PALMETTO GBA RR MEDICARE
Other PR9319052 PALMETTO GBA RR MEDICARE
MEDICAID 3810002482 PALMETTO GBA RR MEDICARE
Other PR9319051 PALMETTO GBA RR MEDICARE

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